正念瑜伽干预作为常规治疗对患有重度抑郁症的年轻女性的补充:一项随机对照试验的结果。

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2022-12-01 DOI:10.1037/ccp0000777

Nina K Vollbehr, H J Rogier Hoenders, Agna A Bartels-Velthuis, Maaike H Nauta, Stynke Castelein, Maya J Schroevers, A Dennis Stant, Casper J Albers, Peter J de Jong, Brian D Ostafin

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引用次数: 2

摘要

目的:探讨9周正念瑜伽干预(MYI)作为常规治疗(TAU)的附加治疗在减少患有重度抑郁症(MDD)的年轻女性(18-34岁)抑郁方面的附加价值。方法:随机对照试验(RCT;n = 171)比较TAU + MYI与TAU-单纯。在基线、干预后、6个月和12个月随访时进行评估。主要结果测量是临床评定的抑郁症状和自我报告的抑郁症状，以及用于确定重度抑郁症诊断的诊断性访谈，该诊断仅限于基线和12个月的随访评估。各领域的生活质量作为次要结局指标进行评估。作为治疗效果的潜在中介，我们纳入了反思、自我批评、自我同情、对不确定性的不容忍、感知身体意识和倾向正念的自我报告测量，以及注意偏差(AB)和抑郁相关自我关联的行为测量。结果:在TAU中加入MYI并没有导致抑郁症状的更大减轻，MDD诊断率更低，也没有在后期和随访评估中提高各种功能领域的生活质量。除了自我同情外，任何潜在的中介都没有间接影响。结论:在减轻年轻女性抑郁症状方面，TAU联合MYI并不比TAU单用更有效。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

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Mindful yoga intervention as add-on to treatment as usual for young women with major depressive disorder: Results from a randomized controlled trial.

OBJECTIVE To examine the added value of a 9-week mindful yoga intervention (MYI) as add-on to treatment as usual (TAU) in reducing depression for young women (18-34 years) with major depressive disorder (MDD). METHOD Randomized controlled trial (RCT; n = 171) comparing TAU + MYI with TAU-only. Assessments were at baseline, postintervention, and at 6- and 12-month follow-up. Primary outcome measures were clinician-rated and self-reported symptoms of depression, together with a diagnostic interview to establish MDD diagnosis that was restricted to the baseline and 12-month follow-up assessments. Quality of life in various domains was assessed as secondary outcome measure. As potential mediators for treatment efficacy, we included self-report measures of rumination, self-criticism, self-compassion, intolerance of uncertainty, perceived body awareness and dispositional mindfulness, together with behavioral measures of attentional bias (AB) and depression-related self-associations. RESULTS Adding MYI to TAU did not lead to greater reduction of depression symptoms, lower rate of MDD diagnosis or increase in quality of life in various domains of functioning at post and follow-up assessments. There were no indirect effects through any of the potential mediators, with the exception of self-compassion. CONCLUSION Adding MYI to TAU appeared not more efficacious than TAU-only in reducing depression symptoms in young women. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.